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General NPI Number Information
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NPI Number | 1538143763
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Entity Type | Individual
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Provider Name | DAVID KLEBANOFF MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 255
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-938-2055
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Fax | 215-938-2054
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Provider Business Mailing Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 255
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-938-2055
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Fax | 215-938-2054
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD027587E
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License Number State | PA
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